Cultural Connections Student RSVP
Event Dates: October 6th & 13th
Hours: 12:00 noon - 3:00 P.M. *Lunch Included*
Check-in between 11:30-11:45 a.m.
Event Address: Golden West College Student Center; 15744 Golden West Street H.B. 92647
Can you attend?
First Name
Your answer
Last Name
Your answer
Preferred Name
Your answer
Student ID # (example C01234567)
Your answer
E-mail Address
Your answer
Telephone Number
Your answer
What is your major and/or academic program of study?
Your answer
Do you have a Student Educational Plan?
How would you define your cultural identity? (This includes, but is not limited to race, ethnicity, national origin, biological sex, gender identity, gender expression, sexual orientation, age, disability, religion, or any other identity)
Your answer
Dietary Restrictions
Based on the Co-Mentors names, which mentor video introductions have you watched?
Required
How did you hear about this event?
Terms & Conditions. I agree to come to Cultural Connections prepared to engage in critical and difficult dialogues about cultural and social identities. I agree to serve as a positive participant with my peers to gain guidance, support, and resources congruent with the mission and vision of the program. I understand every effort will be made to accommodate the co-mentor desired choice but agree it will not be guaranteed and that my progress in receiving a book voucher is based entirely on my active participation with my mentorship group in the Cultural Connections program.
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